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General NPI Number Information
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NPI Number | 1669295036
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Entity Type | Individual
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Provider Name | FREDDIE COLLINS
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Gender | Female
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Dates
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Enumeration Date | 11/05/2024
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | 40 W 3RD AVE APT 303
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City | COLUMBUS
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State | OH
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Zip | 43201-3847
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Country | US
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Telephone | 614-734-4320
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Fax |
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Provider Business Mailing Address
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Address Line | 81 BIDDLE BLVD
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City | BLOOMINGBURG
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State | OH
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Zip | 43106-9775
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number |
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License Number State | OH
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